Nokea
A home care nurse discusses turning a patient every 2 hours, but the patient’s daughter removes the turning clock. The best response by the nurse is:
- A. “You must follow my guidelines and turn her every 2 hours, or I will not be able to take care of her.”
- B. “I understand that you value your culture, but culture cannot stop you from providing good care to your mother.”
- C. “I understand that you care very much for your mother. Perhaps caring for her is too much for you.”
- D. “How can we best work together to provide the best care for your mother?”
Correct Answer: D
Rationale: The correct answer is D because it demonstrates empathy, collaboration, and a patient-centered approach. By asking how to work together, the nurse acknowledges the daughter's concerns and fosters a collaborative relationship. This approach respects the daughter's role in her mother's care and encourages open communication.
Choice A is incorrect as it uses a threatening tone and may alienate the daughter, leading to a breakdown in communication. Choice B is incorrect as it dismisses the daughter's cultural values, which are important in providing holistic care. Choice C is incorrect as it suggests that the daughter is incapable of caring for her mother, which can be disempowering and offensive.
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A nurse caring for older adults must be aware of which consequences of ageism in language? (Select all that apply.)
- A. Reduced sense of self
- B. Poor nutritional intake
- C. Lowered sense of self-competence
- D. Decreased memory performance
Correct Answer: A, C, D
Rationale: Step-by-step rationale:
1. Reduced sense of self: Ageist language can contribute to older adults feeling devalued and less confident.
2. Lowered sense of self-competence: Negative language can impact self-esteem and belief in one's abilities.
3. Decreased memory performance: Ageist language can reinforce negative stereotypes, leading to self-doubt and cognitive decline.
Summary of incorrect choices:
B: Poor nutritional intake - Not directly related to consequences of ageism in language.
Incorrect choices do not address the psychological and emotional impacts of ageist language on older adults.
Define Ageism.
- A. Ageism is a form of prejudice in which older adults are stereotyped by characteristics found in only a few members of their group.
- B. Ageism is the discrimination against individuals who are younger than 65.
- C. Ageism is when younger people are overlooked in healthcare.
- D. Ageism is the positive stereotype that all older adults are wise.
Correct Answer: A
Rationale: Correct Answer: A
Rationale:
1. Ageism is defined as prejudice or discrimination against individuals based on their age.
2. Choice A accurately defines ageism by highlighting the prejudicial nature and stereotyping of older adults.
3. Choices B and C are incorrect as ageism can occur against any age group, not just those over 65 or younger people in healthcare.
4. Choice D is incorrect as ageism involves negative stereotypes, not positive ones like assuming all older adults are wise.
Identify the best statement about gerontological nursing.
- A. Nurses have only recently become involved in the care of older adults.
- B. Gerontological care was the second specialty in which the American Nurses Association (ANA) offered a certification program.
- C. Purposes of gerontological nursing include the promotion of health and support for maximal independence.
- D. ANA certification is available only for gerontological nurses in research positions.
Correct Answer: C
Rationale: The correct answer is C because gerontological nursing focuses on promoting health and maximizing independence in older adults. This statement aligns with the core principles of gerontological nursing, which emphasize holistic care and quality of life for elderly individuals. Choice A is incorrect because nurses have been involved in caring for older adults for a long time. Choice B is incorrect because gerontological care was not the second specialty certified by the ANA. Choice D is incorrect because ANA certification is not limited only to research positions in gerontological nursing.
When assessing the health status of super-centenarians in a long-term care facility, which statement is most accurate regarding their general capabilities?
- A. A significant number of super-centenarians are dependent on full-time nursing care for daily activities.
- B. Many super-centenarians exhibit a high level of functional independence despite their advanced age.
- C. The majority of super-centenarians are unable to engage in social activities due to health limitations.
- D. Most super-centenarians experience severe cognitive decline that affects their daily living.
Correct Answer: B
Rationale: The correct answer is B because super-centenarians, who are individuals aged 110 years or older, often exhibit a high level of functional independence despite their advanced age. This is supported by research showing that many super-centenarians maintain physical and cognitive abilities that allow them to perform daily activities without significant assistance. This statement aligns with the concept of successful aging, where individuals maintain autonomy and independence in later years.
Option A is incorrect because a significant number of super-centenarians are not dependent on full-time nursing care for daily activities. Option C is incorrect as many super-centenarians can still engage in social activities despite health limitations. Option D is incorrect as most super-centenarians do not experience severe cognitive decline that affects their daily living.
The nurse is admitting a patient to a long-term care facility. During the admission, the patient verbalizes a concern about getting dementia now that he is in a nursing home. In which activities should the nurse encourage the patient to participate to maintain brain health?
- A. Physical exercise
- B. Stimulating mental activity
- C. Socialization
- D. Crossword puzzles
Correct Answer: A
Rationale: The correct answer is A: Physical exercise. Engaging in physical exercise has been shown to improve blood flow to the brain, promote the growth of new brain cells, and enhance cognitive function. This helps maintain brain health and may reduce the risk of developing dementia. Other choices are not as directly related to brain health. B: Stimulating mental activity is important but not as effective as physical exercise in preventing dementia. C: Socialization is beneficial for overall well-being but does not have a direct impact on brain health. D: Crossword puzzles are a form of mental stimulation, but physical exercise has a greater impact on brain health.